Organization Active NPI

Superlative Smiles Dental P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
National Provider Identifier
1013149772
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
050894 Issued in NY
Legal business name
SUPERLATIVE SMILES DENTAL P.C.
Practice address
839 57TH St
1St FL
Brooklyn, NY 11220-3633
Phone
(718) 853-0253
Fax
(718) 853-0260
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Luk, DMD, MSNPI 1114174638
Title
Dr
Phone
(718) 853-0253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 050894 NY Primary

Addresses

Primary practice location

839 57TH St
1St FL
Brooklyn, NY 11220-3633

Mailing address

839 57TH St
1St FL
Brooklyn, NY 11220-3633
Phone (718) 853-0253

Other identifiers 1

IdentifierTypeStateIssuer
02665965MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1013149772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 57TH ST",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203633",
            "telephone_number": "718-853-0253",
            "fax_number": "718-853-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 57TH ST",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203633",
            "telephone_number": "718-853-0253",
            "fax_number": "718-853-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERLATIVE SMILES DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "LUK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "718-853-0253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02665965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.